Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY CLAYTON ISHAM, CDP
Active Sole ProprietorMR. GARY CLAYTON ISHAM, CDP is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LA CONNER, Washington. NPI 1114177169 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LA CONNER, WA
Registration Details
- NPI Number
- 1114177169
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2008 (17.700145306906 yrs)
- Last Updated
- Oct 20, 2014
- License
-
CP00005949 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17337 RESERVATION RDLA CONNER, WA, 982578802Browse WA providers · Browse ZIP 98257
- Phone
- 3604661024
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LA CONNER, WA
| Name | Credential | NPI |
|---|---|---|
| PATRICIA J HARLAN | CDP, RC;BA; | 1740413020 |
| MR. CHAD G WALKER | CDP, BS | 1821221011 |
| AMELIA FELTON | CDPT | 1568726313 |
| JACQUELINE FRANCO | — | 1124473202 |
| MR. STEVEN BRUCE GOODING | CDP | 1013363886 |
| MS. JENNIFER LYNNE GILLAND | CDP | 1790232874 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.